摘要
目的:探讨尿道板纵切卷管尿道成形术治疗尿道下裂的适应证、手术技巧、并发症。方法:对32例尿道下裂患者进行尿道板纵切卷管尿道成形术,其中冠状沟型3例,阴茎体型27例,阴茎阴囊2例。首次手术29例,采用尿道板正中切开卷管;再次手术3例,采用残余尿道板或阴茎皮肤正中切开卷管。卷管长1~9 cm,新尿道采用F6~F10号的多侧孔胃管作为支架管,术后10~14 d拔除。结果:随访0.5~2年,32例中27例一次手术成功,阴茎外观接近生理形态,排尿正常,成功率84.4%。尿瘘4例,均行尿瘘修补术痊愈;尿瘘并尿道狭窄1例,尿道扩张后狭窄改善,尿瘘待手术。结论:尿道板纵切卷管尿道成形术操作简单,治疗效果好,术后阴茎外形美观,是尿道下裂修复术的较好方法。
Objective:To explore the indication, technique and complications of treatment for hypospadias with reelpipe by urethra plate urethroplasty. Methods :Thirty-two cases with hypospadias including 3 cases of coronary sulcus ,27cases of penis shaft and 2 cases of penis-scrotum were treated with incised plate urethroplasty. Twenty-nine cases were operated using urethra plate medisection,3 cases of reoperation were reelpiped with urethra plate remnants or the skin of penis. The length of pipe was 1 to 9 cm, and F6 or F10 stomach pipe were used as support pipe in new urethral,which was removed at postoperation 10 to 14 days. Results:Follow-up from 6 months to 2 years for the 32 cases,27 were cured upon one operation,and the success rates of surgery were 84.4%. The appearance of penis closed to the physiol0gical form and could urinate normally. Four cases with urine fistula were cured by urine fistula suture, 1 case with urine fistula combined with urethrostenosis was treated with expansion and operation. Conclusions:The incised plate urethroplasty is the first choice for repairing hypospadias because of its operation simple, good corrective effect and shape of the penis.
出处
《蚌埠医学院学报》
CAS
2012年第5期548-550,共3页
Journal of Bengbu Medical College